86710
HCPCS Procedure Code
HCPCS code 86710 is the #3,352 most-billed Medicaid procedure code, with $1.9M in payments across 153K claims from 2018–2024. The national median cost per claim is $12.47. Costs vary widely — the 90th percentile is $35.02 per claim, 2.8× the median.
Total Paid
$1.9M
0.00% of all spending
Total Claims
153K
Providers
206
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 86710? Based on 180 providers billing this code nationally.
Median
$12.47
Average
$18.33
Std Dev
$22.33
Max
$184.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.52 and $19.41 per claim for this code.
90% bill between $1.63 and $35.02.
Top 1% bill above $95.88.
About This Procedure
HCPCS code 86710 was billed by 206 providers across 153K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 133K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.47
Providers Billing
180
National Spending
$1.9M
Avg/Median Ratio
1.47×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86710
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700886322 | $206K |
| 2 | 1457321036 | $99K |
| 3 | 1598736159 | $92K |
| 4 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $91K |
| 5 | 1700359205 | $74K |
| 6 | 1508952235 | $66K |
| 7 | 1992776041 | $60K |
| 8 | 1841388519 | $56K |
| 9 | 1508851288 | $53K |
| 10 | 1407883341 | $53K |
| 11 | 1245220052 | $50K |
| 12 | 1013386143 | $44K |
| 13 | 1457520942 | $37K |
| 14 | 1558659714 | $36K |
| 15 | 1487607669 | $36K |
| 16 | 1952540387 | $35K |
| 17 | 1497003610 | $32K |
| 18 | 1487696985 | $31K |
| 19 | 1275528614 | $29K |
| 20 | 1497702195 | $29K |
Showing top 20 of 206 providers billing this code